MARTHA ROMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065150

License Status

CANCELLED

Business

First Name

MARTHA

Last Name

ROMAN

Business Name

MARTHA ROMAN

Original Issue Date

04/09/1976

Effective Date

04/09/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005